Citizen coproduction of public services

The Coproduction of public services by service users and communities is the production of public services through the contribution of service users and communities, making use of their resources, expertise and willingness to give legitimacy, together with professional service providers.  And if large savings are to me made in the way we deliver care and in particular long tern disease management the coproduction is one of the ways forward.

A poll, conducted by Harris Interactive, surveyed 1,011 US adults between Feb. 7 and Feb. 11. It found that most adults reported problems with accessing health care services and care coordination (Norman, CQ HealthBeat, 4/6).

More than 70% of U.S. adults think the country’s health care system should be completely changed and a large majority want their care to include health IT, according to a survey released by the Commonwealth Fund, CMIO reports (Byers, CMIO, 4/8).

Among respondents with Internet access, the survey found that:

  • 34% said they can order refills for prescription drugs online;
  • 22% said they can schedule physician appointments online;
  • 21% said they can e-mail their physician; and
  • 14% said they can access their medical records online (CQ HealthBeat, 4/6).

Of the respondents who cannot perform any of those functions online, half said they would like electronic access to their medical records and more than half said they would like to e-mail their physicians and schedule appointments online (CMIO, 4/8).

So it would seem that there is an appetite for coproduction but in the US there are not the masses to make a difference.  In the UK, research shows, that fewer people are interested, informed and active about their healthcare.  That would suggest that we are a little further away from mass coproduction.

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